A nurse is planning care for a client who has a spinal cord injury and spasm-induced incontinence. Which of the following medications should the nurse anticipate a prescription for?

Choice A Reason:

"Do panting breaths several times a day." This statement is inappropriate. Panting breaths involve rapid, shallow breathing similar to what a dog does when it's hot. This technique may not be as effective in clearing mucus or promoting lung expansion compared to deep coughing. While panting breaths may have some benefits in promoting ventilation and increasing lung volume, they may not be as targeted or efficient in preventing atelectasis as other techniques such as deep coughing

Choice B Reason:

"Perform deep coughing twice a day." This statement is correct. Deep coughing helps clear mucus and secretions from the airways, reducing the risk of blockages that can lead to atelectasis. It promotes airway clearance and lung expansion, maintaining respiratory function. Regular deep coughing is particularly important for individuals with spinal cord injuries, as they may have impaired cough reflexes or weakened respiratory muscles, increasing their vulnerability to atelectasis.

Choice C Reason:

"Strengthen your chest muscles by performing therapy exercises." This statement is incorrect. While strengthening chest muscles through therapy exercises can be beneficial for overall respiratory health, it may not directly target the prevention of atelectasis. Atelectasis is primarily caused by the collapse of lung tissue due to mucus buildup or reduced lung expansion, rather than weakness of chest muscles. While therapy exercises may have other benefits such as improving respiratory function and endurance, they may not be the most effective strategy for preventing atelectasis in individuals with spinal cord injuries.

Choice D Reason:

"Get plenty of rest throughout the day." This statement is incorrect. Rest is important for overall health and well-being, but it may not directly contribute to the prevention of atelectasis. Inactivity and prolonged bed rest can actually increase the risk of atelectasis by reducing lung expansion and promoting mucus accumulation in the airways. While adequate rest is necessary for recovery and energy conservation, it should be balanced with activities that promote lung expansion and airway clearance, such as deep breathing exercises and mobility.

Choice A Reason:

"Antibiotics are seldom prescribed," is not an appropriate response as it does not address the client's concern about the cost of medication and may also be inaccurate depending on the specific diagnosis and treatment plan.

Choice B Reason:

"Maybe you can borrow some money to get the medicine," may not be feasible for the client and can also be perceived as insensitive or dismissive of their financial situation.

Choice C Reason:

"Your health care provider may be able to give you free samples. “offers a compassionate and practical solution to the client's concern about the cost of medication. Many healthcare providers have access to free medication samples provided by pharmaceutical companies, which they can offer to patients who have financial difficulties.

Choice D Reason:

"Where did your money go this month?" is judgmental and inappropriate. It may make the client feel ashamed or defensive about their financial situation, which is not conducive to a therapeutic nurse-client relationship. Additionally, the client's financial decisions are not relevant to their need for medical treatment.